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of 26 Version: 3/19/15 D:\2nd Opinion\BCMCtutor\Diabetes\Docs\A1c Starter Kit Book\StarterKitBookletV5andCover.docx

Managing A1c

with

Getting Started…

For

Elite Users

Printing donation SVP

™


Table of Contents

Table of Contents ....................................................... 1 Overview of A1cManager™ ........................................ 1

A1cManager™ is in the Cloud… just for Elite Users ........................................ 2

Self-Monitoring Blood Glucose (aka SMBG) ................................................... 2

Focus on Health .......................................................... 3 What is Optimal Diabetes Control? ............................ 4

How Can You Achieve Optimal Diabetes Control? .......................................... 4

What is a Meal Period Profile? ................................... 5 What You do at Home ..................................................................................... 6

Step 1. Starting an MPP at Home .............................. 7 Examples ......................................................................................................... 8

Meal Period Profile (MPP) Data Collection Sheet ........................................... 8

Step 2. Preparing to Access A1cManager™.............. 10 Step 3. Logging in to A1cManager™ ........................ 10 Step 4. Agreement to Share Data: User’s Copy ....... 11 Step 5. Join a Clinic or Support Group ..................... 11 Step 6. Login to Access the Cloud ............................ 12

6.1 If you use a PC ........................................................................................ 12

6.2 If you use a Mac ..................................................................................... 12

Step 7. Entering your SMBG on the Cloud ............... 14 Appendices ............................................................... 16

1. A1c Manager™ Cost Recovery Options .................................................... 16

2. Using a Flash Drive to Place the ICON on your Desktop .......................... 17

3. Locally Saving & Printing your MPP from the Cloud ................................ 18

4. Locally printing your MPP Data saved on your Computer ....................... 21

5. Filling in the eMail Form........................................................................... 22

6. Some Abbreviations used with A1cManger™ .......................................... 23

7. Notes ........................................................................................................ 24


Overview of A1cManager™

A1cManager™ is for diabetes caregivers and for an elite subgroup of their patients

with diabetes. A1cManager™ includes supporting algorithms and unique

animation to guide Elite Users to achieve and maintain Optimal Diabetes Control

(ODC). To do this, A1cManager™ integrates User data (blood glucose, body

weight, prescribed medications, diet, exercise, and stress) into a virtualized

resource to close the circle of care that targets blood glucose and A1c levels.

Using A1cManager™ Elite Users who do achieve and maintain ODC can expect to

prevent, slow, or in some cases reverse the eye, nerve, heart, and kidney damage

of long standing, poorly controlled diabetes.

A1cManager™ is in the Cloud… just for Elite Users

Target

Levels(SMBG, BW, A1c)

VirtualGUI

&Database

TreatmentOptions

Physician

Filter

T2DMT1DM

Follow Up

Measurements(SMBG, A1c, BW, Meds, hypos)

DrugsA1c Manager™

MPP

Animation

We do all this!

Self-Monitoring Blood Glucose (aka SMBG)

You do only this!


Focus on Health

Remember, healthy people eat 3 well balanced meals at about the same times each day.

With diabetes, a healthy Breakfast, Lunch, and Dinner are best taken between 7-9AM, 12-2PM, and 5-7PM.

Portion control is crucial and Snacks are usually not necessary.

It is generally best to take diabetes medications 5-15 minutes before eating.

Don’t Forget the Mission!

The Mission is simple. Use the

A1cManager™

1. To achieve & maintain Optimal Diabetes Control,

2. To prevent, slow, or possibly reverse the tissue damage of poorly controlled diabetes.


What is Optimal Diabetes Control?

Optimal Diabetes Control means you achieve:

SMBG - in target

A1c - in target

Body Weight - in control

Medications - minimized

Hypoglycemia – none

Make this your pentagon for success …

SMBG is average Self

Monitored Blood Glucose

BW is Body Weight

How Can You Achieve Optimal Diabetes Control?

You do structured SMBG (Self-Monitored Blood Glucose)

You do SMBG before and 1hour after starting to eat

You do this for each meal and before sleep

You repeat this at least twice in a week

In this way, you do SMBG only 14-16+ times week

You use A1cManager™ to create a Meal Period Profile (MPP)

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• -

• -

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file:///D:/BCMC/PDC/GlucoseManagerPerfectDiabetesControl.ppt#257,1,Perfect Diabetes Control


What is a Meal Period Profile?

A Meal Period Profile (MPP) is a snapshot of your

current diabetes status. It is created from your

last week’s structured SMBGs.

The white circles and surrounding shaded areas are the averages and the scatter of your blood glucose readings. Reading from Left to Right:

1. overnight (gray rectangle to the left),

2. pre Breakfast

3. post Breakfast’

4. pre Lunch,

5. post Lunch,

6. pre Dinner,

7. post Dinner,

8. pre Sleep.

A1cManager™ will support you to first achieve & then

maintain optimal diabetes control.


What You do at Home

At least two times on different days and during the week before returning to the support group or clinic, do the following 7 steps:

1. On first rising, measure your Body Weight (BW) and your Blood Glucose (BG).

2. Before breakfast, take your medications if any. Eat Breakfast. Then, looking for the peak, measure your BG again 1 to 1½ hour after the first bite of breakfast. Be precise: use a timer.

3. Not necessarily on the same day, take the medications (if any) and make the BG measurements before and after Lunch.

4. Again, not necessarily on the same day, take the medications (if any) and make the BG measurements before and after Dinner.

5. Again, not necessarily on the same day, take the medications (if any) and make the BG measurements on two typical days before going to Sleep.

6. Measure your BG at least once overnight, especially if you fear night time hypoglycemia.

7. Record the results on the MPP Data Collection sheet.

Though more may be better, you should have at least 12 BGs counting before and after meals and at least 2 before sleep, for a total of just 14 SMBGs in the week before your next support group or clinic visit.

You start an MPP at home.


Step 1. Starting an MPP at Home

Measure your BG.

Be Precise. Your Data are precious! Wash your hands! Warm your fingers!

Use a Meal Period MPP Data Collection Sheet as a

Notebook or Diary.

Always record Date, BW, time, BG, medications taken,

and other data as shown below.

You need a minimum of 14 SMBGs / Week:

Before Breakfast, on 2 days

After Breakfast (at ~1 to 1½ hr) on 2 days

Same for Lunch and Dinner

Before Sleep on 2 days

Optionally, Over night (~3AM) on 1-2 days

Note unusual BGs, diet carbs(CHO), exercise (EX), Stress, etc.

Record additional readings. Use both sides of this MPP form

Especially note hypoglycemia.

Collect & record data in the week before returning

to your support group or doctor’s clinic.

See examples of Meal Period Profile (MPP) Data Collection

Sheets on next 2 pages


Examples Meal Period Profile (MPP) Data Collection Sheet

Example 1: Maintaining ODC– ~16 SMBGs/month


Example 2: Achieving ODC– ~14 SMBGs/week


Step 2. Preparing to Access A1cManager™

You will need to,

1) read the

i. Agreement to Share Outcome Data,

2) carefully complete the

i. New User Registration Demographics, and

3) carefully fill in the table to

i. List your Diabetes Medications

On the next page over, initial, date and keep the extra User’s

Copy for your records.

You will need to register in the Cloud.

Registration provides credentials that allow both

o you to access your own data, and

o your health care professionals to access your data.

Registration places an Icon on your Desktop. The Icon provides

a link to the Cloud

To register, see Marianne or Bev at the Support Group

Step 3. Logging in to A1cManager™

You will need to Double Click the BCMCtutor.rdp or the

A1cManager.rdp Icon on your Desktop to Login and access

A1cManager™ on the cloud.


Step 4. Agreement to Share Data: User’s Copy

Initial & Date Copy for your records…

Step 5. Join a Clinic or Support Group Diabetes, Optimal Control. Mentor: Professor Michael Albisser

1. Agreement to Share Outcomes Data

I, _________________________ perform home glucose management

according to instructions I have received from my health care professionals. To guide me in

so doing I use the BCMC A1cManager™ Service on the Cloud.. It helps me understand my

current status and my drug prescription as it relates to my diabetes. My status is indicated

both by the home measurements I do (body weight & capillary blood glucose) and the results

from the medical procedures or laboratory measurements done as part of my medical care.

The BCMC Service is designed to guide me to achieve optimal diabetes control and help my

caregivers prescribe the best medications and doses for me. My active participation is

required. I understand that correcting any errors in my treatment and making any adjustments

in my prescriptions are best done in consultation with my health care professionals who

themselves use A1cManager™and support my active participation in the global A1cManager

Initiative.

Accordingly, I wish to share my diabetes and related metabolic outcomes with the Support

Group (Diabetes, Optimal Control) and the Company (BCMC, Inc) that provides the Cloud

Services. There may be disclosure of confidential information. Typically, the information

shared will be my glucose values, my diabetes treatment, and certain of my life-style events,

including diet and exercise behaviors. My personal information, including my name and

demographics will not be disclosed. Even when results will be used for publication, my

demographics and specific results will be disassociated so that they cannot identify me. My

outcomes may be used in the teaching and instruction of tutors, including other health

professionals.

I have the right to refuse to sign this Agreement and it will not affect my ability to participate in

the Support Group Sessions here in The Villages.

___________________ _________ Signature Date

____________________ _________ Name of Recruiter Date

_______________________ Name of Provider


Location: The Villages Sea Breeze Recreation Center – Weekly Sessions

Step 6. Login to Access the Cloud

6.1 If you use a PC

1. Using your Desktop ICON

Double Click the BCMCtutor.rdp ICON on your Desktop

Enter your Credentials into the Windows

Security or RemoteApp Dialog box

Use the following Credentials:

User name: IDC Or, if IDC is not accepted then

User name: IRDPNEW\IDC

Password: **** (ask BCMC)

6.2 If you use a Mac

See Apple User Supplement for RDP Client Installation Instructions

If the User ID is not IDC,

then Click Use another

account


The A1cManager™ window will appear on your Desktop.

Click Start.

Elite User Authentication requires

1. Your PIN is your home phone number, eg, 416 233 3996

2. Your Password will be provided.

You are now accessing your database and the A1cManager™ APP on the Cloud…


Step 7. Entering your SMBG on the Cloud

Click My SMBG Your Data set includes:

1. Date

2. Body Weight

3. Time (hhmm) & SMBG (Self-Monitored Blood Glucose)

4. Meds – Rx/Taken (Rx stands for Prescribed). You insert what was taken

5. Comments about Life-style carbs(CHO), exercise(EX), Stress

When a new screen appears, be sure to check the Date that is inserted automatically.

Type to correct, if necessary

Key in the date like this: month-day, eg, 4.16

Press Enter 4-16-2014 Note the computer inserts the Year.

Cursor goes to weight.

Key in your weight.

Press Enter The next screen will appear. See below.


Key in the time of your meal. Use 8 or 8p; or 915 or 915p. It will be converted to military time: 0800 or 2000; or 0915 0r 2115

Press Enter Cursor will go to SMBG

Key in your before Breakfast SMBG. Press Enter Cursor will move to the medication field

Key in the med doses you took before the meal. Press Enter Cursor will go to the after Breakfast time field

Key in the 1 to 1½ hour after Breakfast time reading.

Press Enter Cursor will go to the after breakfast BG field.

Key in your after Breakfast BG.

Press Enter The cursor will go to the before lunch time field.

Repeat the process.

When you have entered all your readings for the day,

click Done to save the data. A new blank screen will appear.

If you click Esc instead the data will not be saved.

If you have no other days to report just click Esc.


Appendices

1. A1c Manager™ Cost Recovery Options

Optimal Diabetes Control

Insight sessions

1 Diabetes Lectures & Support Group Sessions AlwaysWeekly diabetes insight lectures & discussions at

Diabetes: Optimal Control Support Group Sessions Free

Costs Recovery

Service ItemsOne

Time

per

Month

1 Getting Started Kit. $5 Donation please…

2 Registration and First MonthMicrosoft Server 2008 and SQL Server 2008 Licenses included

Creation of your Personal Diabetes Database and included

Registration with User Instructions (& Home visits, if needed). $50

Remainder of First Month's Web Access included

Total - first month $50

3 Web Services for you, monthly charge $25

Including,

Secure Cloud Access to a shared personal desktop on the web included

Access to your Personal Diabetes Database 24/7 included

Unlimited Mini Assessments done on the web. included

Reports, analysis & treatment suggestions sent to your doctor. included

Oh yes, you will not be charged if you don't use the web services!

4 A1cManager™ $10/month, but for Villagers only free

Including, for you AND your doctor,

Full Access to A1cManager™ and Algorithms included

Guidance to Achieve & Maintain Optimal Diabetes Control included

Oh yes, you will not be charged if you don't use the web!

5 Private Tutoring Ask usPrivate tutoring to achieve or maintain optimal diabetes control

Locally at Weekly Support Group Sessions

Remotely using Skype, eg, for Snow Birds

5 User License for Full Pro A1cManager™ Resource Ask us

Including the full, personal versions of the BCMCtutor™ software on the cloud (Web access needed)on a flash drive (Web access NOT needed)group or personal tutoring, locally or remotelyfull access for your health care professionals

… A new service for Villagers

Recommended by leading practitioners…


2. Using a Flash Drive to Place the ICON on your Desktop

Insert your A1cManager™ flash drive into any USB port.

Wait until this window appears.

Double Click on

Open folder to view files using

Windows Explorer

If window to the right does not

appear, go to MY COMPUTER

Click on the Flash Drive

Double Click on : CopyIcon.bat.

Some computers hide the .bat extension.

You can also Drag-and-Drop the BCMCtutor.rdp file from the folder

to your Desktop.

With Outlook, you can also Drag-and-Drop the BCMCtutor.rdp file

from an Email to your Desktop.


3. Locally Saving & Printing your MPP from the Cloud

Click Print Preview on the MPP window.


Click Print or Click eMail

Select the CutePDF Writer. It’s on the Cloud.

Click Print again

The image is formatted for printing by the

CutePDF writer on the Cloud.

The screen below will appear.

You must choose a place to save the PDF file on

your computer.


As shown in the drop-down menu under Network, your

Computer is called tsclient and \\tsclient\C is your C-

Drive

The Apr5_14.PDF file will be saved on your computer as

C:\Diabetes_Data\Apr5-14.pdf.

You can print it on your local printer or send it as an

email attachment to your caregivers.

Click to Drop

down the drive

selection list

This is on your

computer’s C

drive.

The Diabetes_Data

folder will also be

on your C-Drive.

Select the

Diabetes_Data

folder

Give your new file

a name . The date

of the Print-out is a

good name

Click on Save

file://tsclient/C


4. Locally printing your MPP Data saved on your Computer

Go to My Computer

Click on the C-Drive(C:\)

Double click the Diabetes_Data Folder

Double click the PDF file you wish to print, for example,

the one Apr5_14.pdf that you have just saved.

You can also email the file as an attachment to your

caregivers.


5. Filling in the eMail Form

Please complete the Email address

Fill in the to Email field and to Name

Edit the Message

Click Send


6. Some Abbreviations used with A1cManger™

A1c Glycated hemoglobin A1c

ac, pc before eating, after eating

B, L, D, S Breakfast, Lunch, Dinner, Sleep

BCMC Better Control Medical Computers, Inc.

BG Blood Glucose

CHO, EX Carbs, Exercise

MPP Meal-Period Profile

ODC Optimal Diabetes Control

Rx, Hx Prescription, History

RXN, Hypo Hypoglycemia

SMBG Self-Monitored Blood Glucose

T A L B Tummy, Arms, Legs, Buttocks

T2DM Type 2 Diabetes Mellitus


7. Notes

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